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NPI Code Detail

MEDICARE: JENNIFER BROOKS

MEDICARE:   JENNIFER  BROOKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistCO

General Provider Information

NPI Number : 1275492829
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BROOKS
Provider Business Mailing Address
First Line : 8745 COUNTY ROAD 9 S
Second Line :
City : ALAMOSA
State : CO
Zip : 81101-9610
Country : US
Telephone Number : 719-587-5619
Fax Number : 719-587-5619
Provider Business Practice Location Address
First Line : 8745 COUNTY ROAD 9 S
Second Line :
City : ALAMOSA
State : CO
Zip : 81101-9610
Country : US
Telephone Number : 719-587-5619
Fax Number : 719-587-5619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ JENNIFER BROOKS ” Practice Location

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